Active NPI
Roy E Smith, MD
- Addiction Medicine (Family Medicine) Physician
- Yreka, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Family Medicine) Physician
- License
- 191926
- Practice address
- 475 Bruce St
Yreka, CA 96097-3474 - Phone
- (530) 842-3507
- NPI assigned
- May 27, 2006
- Last updated
- Nov 15, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 191926 | CA | |
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | 191926 | CA | Primary |
Addresses
Primary practice location
475 Bruce St
Yreka, CA 96097-3474
Mailing address
475 Bruce St
Yreka, CA 96097-3474
Phone (530) 842-3507
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Medical University of South Carolina College of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
444 Bruce St
Yreka, CA 96097-3450
Phone (530) 842-4121
475 Bruce St
Yreka, CA 96097-3474
Phone (530) 842-4121
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 191926 | CA | MD | Addiction Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Siskiyou Hospital, Inc. | Current | Accepting new patients | |
| Alice J. Brooks, MD, PA | Past | Accepting new patients | |
| Siskiyou Hospital Inc | Past | Accepting new patients | |
| F N McCorkle Jr., MD PA | Past | Accepting new patients | |
| Mill Street Medical Associates, LLP | Family Medicine | Past | Accepting new patients |
| Roy E. Smith, M.D. | Family Medicine | Past | Accepting new patients |
Locations
444 Bruce St
Yreka, CA 96097
Phone (530) 841-6256
475 Bruce St
Yreka, CA 96097
Phone (530) 842-3507
475 Bruce St
Ste 900
Yreka, CA 96097
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Fairchild Medical Center
- Critical Access Hospital
- Yreka, CA
- NPI 1093892275
-
- Rural Health Clinic/Center
- Etna, CA
- NPI 1336330646
-
- Primary Care Clinic/Center
- Lugoff, SC
- NPI 1093762171
-
- Internal Medicine Physician
- Camden, SC
- NPI 1376782946
-
- Family Medicine Physician
- Camden, SC
- NPI 1831203918
-
- Family Medicine Physician
- Camden, SC
- NPI 1972756609
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Fairchild Medical Center
- Critical Access Hospital
- Yreka, CA
- NPI 1093892275
-
dba Fairchild Medical Center
- Critical Access Hospital
- Yreka, CA
- NPI 1952701369
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700006400000",
"number": "1245287291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "475 BRUCE ST",
"city": "YREKA",
"state": "CA",
"postal_code": "960973474",
"telephone_number": "530-842-3507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "475 BRUCE ST",
"city": "YREKA",
"state": "CA",
"postal_code": "960973474",
"telephone_number": "530-842-3507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "ROY",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-27",
"last_updated": "2023-11-15",
"certification_date": "2023-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "191926",
"primary": false
},
{
"code": "207QA0401X",
"taxonomy_group": "",
"desc": "Family Medicine, Addiction Medicine",
"state": "CA",
"license": "191926",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yreka, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.